JAMES JACKSON

ELKHART, IN
NPI1548251937
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: IN  02001724A)
Enumeration Date2005-11-03
Last Update Date2016-08-12
Business Address
-- JAMES JACKSON D.O.
236 SIMPSON AVE
ELKHART, IN 46516-4666
Phone number: 574-293-0052
Mailing Address
-- JAMES JACKSON D.O.
236 SIMPSON AVE
ELKHART, IN 46516-4666
Phone number: 574-293-0052
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